<div class="user-center-head"><?php echo L('balance_manage')?> <?php echo L('withdrawal');?></div>
<form action="<?php echo url('user/account_deposit')?>" method="post" name="myform">
  <ul class="user-center-fields">
    <li>
      <em><?php echo L('withdrawal_amount')?>:</em>
      <input type="text" name="amount" pattern="price" alt="<?php echo L('inputprice_tx')?>" />
    </li>
    <li>
      <em><?php echo L('user_notes')?>:</em>
      <textarea  rows="5" cols="64" name="user_note" pattern="required" alt="<?php echo L('empty_content')?>"></textarea>
    </li>
    <li>
      <em></em>
      <input type="hidden" name="process_type" value="1" />
      <input type="submit" name="dosubmit" value="<?php echo L('submission')?>" class="btn btn-middle" />
      <input type="reset" name="reset" value="<?php echo L('resetuser')?>" class="btn btn-middle" />
    </li>
  </ul>
</form>